Find in Library

Purpose: The purpose of this study is to study role of prophylactic scleral decompression procedures in the prevention of choroidal effusion in nanophthalmos. Materials and Methods: Nanophthalmos was defined as eye with axial length (AL) (<20 mm), hyperopia (>+5.00 D) and scleral thickness (>1.7 mm). In a retrospective case series, we analyzed 21 eyes of 21 patients with nanophthalmos, who underwent cataract and/or glaucoma surgery with concurrent sclerotomy or sclerotomy with sclerectomy. Results: The mean age at the time of surgery was 51 ± 7 years. The mean AL was 17.18 ± 1.74 mm. Surgery-related complications were documented in 8 (38%) eyes. The prophylactic scleral decompression procedures did not offer protection against postoperative choroidal effusion (P = 0.6). On univariate logistic regression, preoperative intraocular pressure (P = 0.01) was significantly associated with postoperative complications. Conclusion: Prophylactic scleral decompression does not offer absolute protection against postoperative complications during cataract and/or glaucoma surgery in nanophthalmic eyes.